Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (6): 164-170.doi: 10.6040/j.issn.1673-3770.0.2022.104

• Clinical Study • Previous Articles    

Analysis of predictive factors of surgical outcomes in patients with nasal septum deviation

YANG Bo1, QIU Changyu1, ZOU Xinyuan1, YIN Min1, ZHU Xinjie1, CHENG Lei1,2, LU Meiping1   

  1. 1. Department of Otorhinolaryngology , The First Affiliated Hospital , Nanjing Medical University, Nanjing 210029, Jiangsu, China2. International Centre for Allergy Research, Nanjing Medical University, Nanjing 210029, Jiangsu, China
  • Published:2023-12-15

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Abstract: Objective To analyze the preoperative characteristics of patients with nasal septum deviation and the improvement of postoperative symptoms to determine the relevant factors that could predict the surgical outcome. Methods A prospective study was conducted on 53 patients with nasal septal deviation and whose main complaint was nasal congestion. Each patient underwent preoperative history taking, physical examination, auxiliary examination induding nasal endoscopy, paranasal sinus CT, acoustic rhinometry, rhinomanometry, and peak nasal inspiratory flow(PNIF). They also completed an anxiety self-assessment scale(SAS), depression self-assessment scale(SDS), and nasal obstruction visual analogue scale(VAS)at day and night respectively. The improvement of the nasal obstruction symptom evaluation(NOSE)scale score, sino-nasal outcome test 22(SNOT-22)score, and patient's postoperative satisfaction were assessed at one month and six months after surgery. Results The degree of improvement in NOSE scores was correlated with PNIF(r=-0.33), and the degree of improvement in SNOT-22 scores was correlated with SAS scores(r=-0.31). VAS scores for nocturnal nasal congestion were correlated with the degree of improvement in NOSE(r=-0.36)and SNOT-22 scores(r=-0.37). In a multifactorial regression analysis, patient satisfaction with the operation was only associated with the VAS scores for nocturnal nasal congestion(OR=1.65, 95% CI=1.09-2.48, P=0.02). Conclusion The evaluation of patients' preoperative nasal congestion characteristics as well as their psychological status can help clinicians to evaluate patients' prognosis, in order to further select reasonable treatment for patients and optimize the procedure of diagnosis and care for nasal septal deviation.

Key words: Septoplasty, Predictive factors, Nasal congestion, Anxiety, Peak nasal inspiratory flow

CLC Number: 

  • R765.31
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